Ocean Eyes Zen Center
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    FMZO National One Day Retreat

    If you are taking precepts please fill in the following

    [Note: Participants may find some aspects of the retreat physically or emotionally demanding. In order to help maintain a safe environment for you and others, we ask the following questions. The following information will be kept confidential. It is requested solely in the event of an emergency.]

    If your answer is yes, please summarize briefly, and, if applicable, provide the name of your health care practitioner who we may contact in the event of an emergency:
    If Applicable
    Please list any critical medications you take on a regular basis, and dosages:

    RELEASE

    Participants may find some aspects of the retreat program physically or mentally demanding. The program does include physical work and a vigorous daily schedule. I may freely decline to participate in any work that in my sincere judgment is dangerous to my health. I realize that I may consult with a teacher at any time to resolve any difficulties I might have. I will not leave the retreat grounds during the program without consulting with a teacher.

    I agree to release Five Mountain Zen Order and Ocean Eyes Zen Center from liability from any injury I suffer and to indemnify the same for any injury to others caused by me. By entering your full legal name you are signing this document.
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We are a proud affiliate of the Five Mountain Zen Order

Location

Huntington Beach Church of Religious Science
7641 Talbert Avenue Rm 211 (Upstairs)
Huntington Beach, CA 92649